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Home My WebLink About321258 01/25/18 0]"! CITY OF CARMEL, INDIANA VENDOR: 359584 ONE CIVIC SQUARE BRENNTAG MID SOUTH INCCHECK AMOUNT: *******853.00CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK NUMBER: 321258 CHICAGO IL 60686 CHECK DATE: 01/25/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 BMS886793 853.00 OTHER EXPENSES VOUCHER NO. 177234 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor # 359584 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER BRENNTAG (ULRICH) CITY OF CARMEL 3796 Reliable Parkway An invoice or bill to be properly itemized must show: kind of service,where performed, CHICAGO, IL 60686 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit,etc. Payee 853.00 359584 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR BRENNTAG(ULRICH) Terms Carmel Wasterwater Utility 3796 Reliable Parkway Due Date BOARD MEMBERS I hereby certify that that attached invoice CHICAGO, IL 60686 (s) or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT BMS886793 01-7182-05 $853.00 and received except 1/18/2018 BMS886793 $853.00 I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 Cost distribution ledger classification if claim paid motor vehicle highway fund. 2C_ Clerk-Treasurer BRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS886793 INV DATE: 1/10/18 * PAGE 11OF 1 ** DUE DATE: 2/09/18 SOLD TO: SHIP TO: CARMEL WASTE WATER HAZEL DELL 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL INDIANAPOLIS IN 46280- CARMEL IN 46280 FEDERAL ID #: 610504545 DATE- SHIPPED: 1/10/18 TERMS NET 30 DAYS B/L #. . : 2002195-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: 518004 FOB . . : DELIVERED FRGT COMMENT: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . : 769831534 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 1 .0000 253418 11 .87000 2000.0000# .3840 768.00 2000.0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------------------------------------------------------------------------------- QUESTIONS, CALL 317-898-8632 REMIT TO ADDRESS: BRENNTAG MID-SOUTH, INC 3796 RELIABLE PARKWAY * MERCHANDISE 768.00 * CHICAGO IL 60686-3007 * FUEL SURCHARGE 50.00 *************************************** INS & SEC SURCHARGE 35.00 ----------------- PAID ON OR PRIOR TO 2/09/18 INVOICE TOTAL USD . 853 .00 PAID AFTER 2/09/18 INVOICE TOTAL USD 870.06 Original Document